Individual ProviderKristina Rebeca ClawsonCounselorBehavioral Health & Social Service ProvidersPractice Address7310 Smoke Ranch Rd Ste S, Las Vegas, NV 89128-0260(702) 456-4262PECOS EnrollmentBased on the most recent information from CMS, provider Kristina Rebeca Clawson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1992397228Provider TypeIndividualFull NameClawson, Kristina RebecaCredentialMFTGenderFemaleSole ProprietorYesEnumeration Date2/8/2021Last Updated2/8/2021Contact InformationPractice LocationPractice Address7310 Smoke Ranch Rd Ste S, Las Vegas, NV 89128-0260Phone(702) 456-4262FaxUnlisted FaxMailing LocationMailing Address7310 Smoke Ranch Rd Ste S, Las Vegas, NV 89128-0260Phone(702) 456-4262FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMI3196Nevada